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1 Sep 2023, 4:10 pm
On August 29, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the ten (10) Medicare Part D drugs selected for the first round of negotiations of the Medicare Drug Price Negotiation Program (Program)—a few days before the September 1, 2023, statutory deadline imposed by the Inflation Reduction Act (IRA). [read post]
1 Sep 2023, 1:40 pm
In a proposed rule sent to the federal register public inspection list on Sept. 1, the Centers for Medicare and Medicaid Services (CMS) announced a long-awaited minimum staffing requirement for Long Term Care (LTC) facilities that participate in the Medicare and Medicaid programs. [read post]
1 Sep 2023, 10:33 am
The Centers for Medicare & Medicaid Services (CMS) recently announced the Making Care Primary (MCP) Model, a new voluntary primary care model that will be tested in eight states. [read post]
1 Sep 2023, 10:23 am
A senior official at the Centers for Medicare and Medicaid Services said many states have been conducting automatic or “ex parte” renewals based on state databases to determine whether residents are still eligible for Medicaid coverage, sending out renewal forms and disenrolling anyone who doesn’t return them. ( NEW YORK TIMES ) Biden Administration Announces First Drugs for Medicare Price Negotiation The Centers for… [read post]
1 Sep 2023, 9:00 am
On August 29, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the ten (10) Medicare Part D drugs selected for the first round of negotiations of the Medicare Drug Price Negotiation Program (Program)—a few days before the September 1, 2023, statutory deadline imposed by the Inflation Reduction Act (IRA). [read post]
31 Aug 2023, 1:02 pm
On August 28, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a final payment rule for inpatient and long-term care hospitals (“LTCH”) that builds on the Biden-Harris Administration’s priorities to provide support to historically underserved and under-resourced communities and to promote the highest quality outcomes and safest care for all individuals. [read post]
30 Aug 2023, 12:24 pm
The comment period is open until October 2, 2023, and if finalized, the regulations would be effective for the first plan year beginning on or after January 1, 2025. 2The Technical Release (developed in collaboration with the Departments of Health and Human Services and Treasury) is available online here. 3The Fact Sheet (issued jointly with Health and Human Services’ Centers for Medicare and Medicaid Services) is available online… [read post]
30 Aug 2023, 7:35 am
The Centers for Medicare & Medicaid Services (“CMS”) responded to the ruling by temporarily suspending all Federal (i.e., IDR) process operations until the Departments can provide additional instructions, but has encouraged parties to continue to engage in open negotiations. [read post]
29 Aug 2023, 6:33 am
The Centers for Medicare and Medicaid Services (CMS) released the names of the top 10 drugs by Medicare spend on Aug. 29. [read post]
22 Aug 2023, 9:05 pm
To replace the current system, Simon proposes that FDA should partner with the Centers for Medicare and Medicaid Services (CMS) to use drug compendia, which are summaries of drug information. [read post]
22 Aug 2023, 9:00 pm
However, the current barren regulatory landscape has cast a unique shadow over AI’s potential, which is particularly significant in light of an aging population, high Medicaid and Children’s Health Insurance Program enrollment—growing 29.8% from February 2020 to December 2022—and multiple ongoing epidemics in mental health and substance abuse. [read post]
22 Aug 2023, 7:50 am
The Centers for Medicare and Medicaid Services (CMS), which oversees the Medicare program, adjusts the payments to MA Plans based on demographic information and the diagnoses of each plan beneficiary. [read post]
20 Aug 2023, 4:43 am
The MSA was filed with the Centers for Medicare and Medicaid Services (CMS) for approval. [read post]
20 Aug 2023, 1:08 am
Medicare’s Nursing Home Comparison website includes detailed information about every Medicare and Medicaid-certified nursing home in the country. [read post]
17 Aug 2023, 9:05 pm
HHS’s declaration allows flexibility for health care professionals to meet the needs of Medicare and Medicaid recipients. [read post]
16 Aug 2023, 12:49 pm
You might have a lien against your personal injury settlement for such things as: Payments for outstanding child support payments Payments for unpaid medical bills with a medical provider Reimbursements or payments to your insurance company or the Medicare or Medicaid programs And more! [read post]
15 Aug 2023, 9:01 am
With their 2023 Mental Health Parity and Addiction Equity Act’s Comparative Analysis Report to Congress (“Report”) and an accompanying Enforcement Fact Sheet (“Fact Sheet”) confirming their continued prioritization of MHPAEA, the Department of Labor Employee Benefit Security Administration (“EBSA”), the Department of Health and Human Services Centers for Medicare & Medicaid Services (“CMS”) and the… [read post]
14 Aug 2023, 2:07 pm
The Centers for Medicare & Medicaid Services (CMS) kicked off efforts to improve postpartum care among disadvantaged populations by releasing a new toolkit today. [read post]
14 Aug 2023, 10:00 am
On July 21, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new payment model for providers furnishing dementia care, called Guiding an Improved Dementia Experience (GUIDE). [read post]
14 Aug 2023, 7:13 am
[2] Centers for Medicare & Medicaid Services, Spotlight: Physician-Owned Hospital Expansion Exception Requests – Changes Effective October 1, 2023, available at https://www.cms.gov/medicare/fraud-and-abuse/physicianselfreferral/spotlight (last accessed August 2, 2023) [read post]
